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Contact Information

LIGHTHOUSE OF PINELLAS INC
6925 112TH CIR
LARGO, FL33773-5200
 Phone: 727-544-4433
 Fax: 727-544-5511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE OF PINELLAS INC · (Female)

NPI Number 1801858071
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2006
Last updated 06/09/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 880145200
  • FL Medicaid 880147900
  • FL Medicaid 882356100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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